CRYSTAL NICOLE MCKENZIE (NPI# 1619153806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619153806 |
| Entity Type | Individual |
| Full Name | CRYSTAL NICOLE MCKENZIE |
| Credential | MSN, RN, CPNP |
| Practice Address |
2865 W Broad St Columbus OH 43204-2643 |
| Practice Telephone | 6145319277 |
| Mailing Telephone | 6145319277 |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2013-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
14710 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174050587 | Crystal Mckenzie | Physical Therapist | 12625 Race Track Rd, Tampa, FL 33626-1331 | 2017-05-16 |
| 1669490884 | Crystal Mckenzie | Nurse Practitioner | 301 Yadkin St, Albemarle, NC 28001-3441 | 2006-07-17 |
| Street Address |
2865 W BROAD ST |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43204-2643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980503 | Gary Robert Rutherford | Pharmacist | 2865 W Broad St, Columbus, OH 43204-2643 | 2005-05-24 |
| 1285109066 | Alyssa Kin | Social Worker | 2865 W Broad St, Columbus, OH 43204-2643 | 2018-10-09 |
| 1427539303 | Mehri Davis | Counselor | 2865 W Broad St, Columbus, OH 43204-2643 | 2018-08-28 |
| 1982199253 | Sandra Marie Quotson | Counselor | 2865 W Broad St, Columbus, OH 43204-2643 | 2018-06-28 |
| 1588159347 | Alison Pence-ward | Social Worker | 2865 W Broad St, Columbus, OH 43204-2643 | 2018-06-25 |
| 1437641370 | Eric Little | Counselor | 2865 W Broad St, Columbus, OH 43204-2643 | 2018-06-06 |
| 1386131753 | Lea Araya | Social Worker | 2865 W Broad St, Columbus, OH 43204 | 2018-04-20 |
| 1700373347 | Mark Steven Ingram | Social Worker | 2865 W Broad St, Columbus, OH 43204-2643 | 2018-04-19 |
| 1033615067 | Valerie Rasicci | Counselor | 2865 W Broad St, Columbus, OH 43204-2643 | 2018-03-30 |
| 1306341763 | Sydney Marie Burks | Social Worker | 2865 W Broad St, Columbus, OH 43204-2643 | 2018-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215593587 | Raymond Jay Ellis | Technician | 2455 Sullivant Ave, Columbus, OH 43204 | 2019-05-13 |
| 1245791581 | Dedicated Columbus Ohio, LLC | Non-Pharmacy Dispensing Site | 50 North Wilson Road, Columbus, OH 43204 | 2019-03-28 |
| 1770076192 | Morgan Elizabeth Garczyk | Optometrist | 2300 W Broad St Fl 2, Columbus, OH 43204 | 2018-06-11 |
| 1093240731 | Jerusha R Mcclendon | Social Worker | 3188 Mary Ave, Columbus, OH 43204 | 2017-05-01 |
| 1790235588 | American Senior Care Center LLC | Home Health | 3105 W Broad Street, Suite 2, Columbus, OH 43204 | 2016-10-05 |
| 1184082083 | Jordan Fontes | Nurse Practitioner | 2800 West Broad St, Columbus, OH 43204 | 2016-02-05 |
| 1073971248 | John R Sadaghiani | Dentist | 45 N. Wilson Rd, Columbus, OH 43204 | 2016-02-03 |
| 1245615806 | Brittany Muse | Occupational Therapist | 3615 Graybeck Drive, Columbus, OH 43204 | 2015-07-24 |
| 1528453842 | Sadaf Khan | Internal Medicine | 50 N Wilson Road, Columbus, OH 43204 | 2015-04-02 |
| 1053722629 | Kristen Basch | Pharmacist | 4248 Ongaro Dr, Columbus, OH 43204 | 2014-05-16 |
| Find all providers in zip 43204 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851869598 | Whitney Stine | Nurse Practitioner | 410 W 10th Ave Fl 7, Columbus, OH 43210-1240 | 2018-11-12 |
| 1033652508 | Allison Ulbrich Allen | Nurse Practitioner | 100 Liberty St Apt 12307, Columbus, OH 43215 | 2016-11-30 |
| 1235583741 | Felicia Lashawn Heard | Nurse Practitioner | 5555 Whittlesey Blvd Ste L1, Columbus, GA 31909 | 2016-04-20 |
| 1386020113 | Stefanie Taylor Christy | Nurse Practitioner | 3654b New Hope Rd, Columbus, MS 39702-8521 | 2015-08-04 |
| 1659681237 | Adrienne M Shesky | Nurse Practitioner | 1335 Dublin Road, Suite 114e, Columbus, OH 43215 | 2010-10-15 |
| 1508024589 | Maryanne Tranter | Nurse Practitioner | 4560 Morse Centre Rd, Columbus, OH 43229-6602 | 2008-05-27 |
| 1326648635 | Annie Mae Thompson | Nurse Practitioner | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-10-27 |
| 1801400502 | Maddison Wagner | Nurse Practitioner | 700 Childrens Dr, Columbus, OH 43205-2639 | 2020-09-01 |
| 1326652942 | Beth Louise Hubach | Nurse Practitioner | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-09-01 |
| 1871102244 | Lisa Michele Kappy | Nurse Practitioner | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-07-30 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.